Sobriety WoD First Timers

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* 1. Welcome to Sobriety WoD! What's your name?

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* 2. What is your email address?

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* 3. What is your ZIP code?

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* 4. Birthday?

Date / Time

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* 5. What is your gender?

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* 6. How did you hear about Sobriety WoD?

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* 7. What is your sobriety date if applicable?

Date / Time

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* 8. Are you involved in any other recovery specific programs?

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* 9. If you had to pick one, what addiction are you primarily recovering from?

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